ATI RN
ATI RN Fundamentals 2023 I Questions
Extract:
Question 1 of 5
A nurse is teaching a client who has decreased mobility about passive range-of-motion exercises. Which of the following statements should the nurse make?
Correct Answer: B
Rationale: The correct answer is B: "I will repeat these movements 3 to 5 times." This is the appropriate statement because passive range-of-motion exercises should be repeated multiple times to prevent joint stiffness and contractures. Repeating the movements helps maintain joint flexibility and circulation.
Explanation of why the other choices are incorrect:
A: "I will move your joints to the point of mild pain" - Incorrect because pain should be avoided during passive range-of-motion exercises to prevent injury and discomfort.
C: "I will move your joints quickly" - Incorrect because slow, controlled movements are recommended to prevent injury and ensure effectiveness.
D: "These movements will be performed once per day" - Incorrect because passive range-of-motion exercises are usually performed multiple times throughout the day to promote joint mobility and prevent stiffness.
Question 2 of 5
A home health nurse is caring for a client who has a chronic illness and recently moved in with their adult child. Which of the following statements by the client should indicate to the nurse that the client has adapted to their new situational role?
Correct Answer: D
Rationale: The correct answer is D: "It’s nice having other people cook for me." This statement indicates the client has adapted to their new situational role by accepting help from others, showing a shift from previous independence. The client acknowledging and appreciating the assistance with daily tasks like cooking signifies a positive adjustment.
Explanation of why other choices are incorrect:
A: "I’ve never been the kind of person to ask others for help" - This statement suggests a reluctance to seek help, indicating a lack of adaptation to the new situation.
B: "I’m looking forward to being able to be independent again" - This statement reflects a desire to regain independence, not necessarily adapting to the current living arrangement.
C: "I really don’t know what I’m supposed to do all day" - This statement indicates confusion and uncertainty, not adaptation to the new role.
Question 3 of 5
A nurse is reviewing the client’s medical record. Which of the following findings places the client at risk for heart disease? (Select all that apply.)
Correct Answer: A,B,C,E,F
Rationale: The correct answer includes family history, fasting glucose level, history of hyperlipidemia, hypertension, and cholesterol level. Family history is a non-modifiable risk factor for heart disease. Elevated fasting glucose indicates potential diabetes, a risk factor for heart disease. Hyperlipidemia contributes to plaque buildup in arteries. Hypertension strains the heart and blood vessels. Abnormal cholesterol levels can lead to atherosclerosis.
Choices D and G are not directly linked to heart disease risk.
Question 4 of 5
A home health nurse is teaching a client about home safety. Which of the following statements by the client indicates an understanding of the teaching? (Select all that apply.)
Correct Answer: A,B,E
Rationale:
Correct Answer: A, B, E
Rationale:
A: Using grab bars in the bathtub prevents slips and falls, promoting safety.
B: Having a fire escape plan ensures preparedness in case of emergencies.
E: Checking medication expiration dates maintains their effectiveness and prevents harm.
Incorrect
Choices:
C: Setting the hot water heater to 140°F can scald and cause burns.
D: Applying tape to frayed electrical cords is a fire hazard and can lead to electrocution.
Question 5 of 5
A nurse in a mental health clinic is caring for an older adult client who has depression and has stopped taking their medication. The client tells the nurse, 'I want to die now that my partner is gone.' Which of the following responses should the nurse make?
Correct Answer: B
Rationale:
Correct Answer: B
Rationale:
1. The nurse must assess the client's risk for self-harm or suicide, as the client expressed a desire to die.
2. Asking directly about self-harm opens the conversation and allows the nurse to assess the severity of the client's thoughts.
3. This response shows the nurse's concern for the client's safety and well-being.
4. It initiates a crucial dialogue to determine the appropriate level of intervention needed for the client's safety.
Summary of other choices:
A: Asking about the partner may divert the conversation and miss addressing the immediate risk of self-harm.
C: While discussing feelings with a provider is important, the urgency of the situation requires immediate assessment by the nurse.
D: Inquiring about medication adherence is relevant but not the priority when the client expresses suicidal ideation.